Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
AST Cert Exam #5
| Question | Answer |
|---|---|
| What is used to retract the spermatic cord during an inguinal herniorraphy? | penrose drain |
| Why is an indwelling Foley catheter placed prior to a hysterectomy? | avoid injury to bladder |
| Which scissors is the best choice for extending an arterial incision? | Potts-Smith |
| What is used to stain the cervix for a Schiller's test? | Lugol's solution |
| Which arises from the left ventricle of the heart? | ascending aorta |
| What method is used to confirm that items have been exposed to the sterilization process, but sterility is not guaranteed? | chemical |
| Why would the hair of a patient undergoing craniotomy be bagged, labeled and saved? | it is patient property |
| When preparing a double basin for sterilization the: | basins should be separated by a porous, absorbent towel |
| Which structure, during a total hip arthroplasty, requires intramedullary reaming prior to placement of a prosthesis? | femoral canal |
| Which of the following is the least restrictive form of credentialing? | registration |
| What drug classification is Demerol? | analgesic - to relieve pain |
| What should be transported to the PACU with a patient who underwent a thyroidectomy? | tracheotomy tray |
| What is the chemical abbreviation for sodium chloride? | NaCl |
| Which organelle is responsible for packaging of proteins? | golgi complex |
| What types of treatment does a patient authorize when signing a general consent form? | all routine treatments or procedures |
| Which medication can be used as a topical jelly during cystoscopy procedures? | Xylocaine |
| What is a primary postoperative complication of carotid endartectomy? | stroke |
| When is it acceptable to open surgical dressing sponges? | after final count |
| What is the correct procedure to follow when a sterilized rigid instrument container is opened and condensation is observed? | don't use; return to SPD |
| Which method of sterilization requires an aeration cycle? | EtO |
| Elevated IOP in a glaucoma patient is a result of excess: | aqueous humor |
| Where should the grounding pad be placed on a patient undergoing a laparoscopic cholecystectomy who has a right hip prosthesis? | left anterior thigh |
| The Trandelenburg position is often used for surgery on the: | lower abdomen and pelvis |
| The large artery that arises from the left side of the aortic arch and descends into the arm is the: | subclavian |
| Lesions in which part of the brain may affect balance and coordination? | cerebellum |
| Which sterilization method utilizes the process of cavitation? | ultrasonic cleaner |
| What is the name for a dorsally angulated fracture of the distal radius? | Colles' |
| Which ligament is transected during surgery for De Quervain's disease? | dorsal carpal |
| In order to minimize mucosal irritation during urinary catheterization, the tip of the catheter is dipped into what? | K-Y jelly |
| How often is a medication prescribed as QID to be taken per day? | 4 times per day |
| What type of external dressing would be used to eliminate dead space? | pressure |
| In the prone position, patients are placed on chest rolls to prevent: | compromised ventilation |
| What position would be used for a LAVH? | lithotomy |
| A left subcostal incision would be used to expose the: | spleen |
| Intraoperatively, lidocaine with epinephrine may be contraindicated in patients who are: | hypertensive |
| What approach is used for the removal of a small acoustic neuroma that is located in the internal auditory canal? | middle fossa |
| What must be obtained from a patient undergoing surgical procedures, fertility treatments, chemotherapy or experimental treatment? | special written consent |
| What drug is used to treat hypotension and shock? | Levophed - norepinephrine |
| The agent used to expand blood plasma volume is: | Dextran |
| What does the term chole/ refer to? | bile |
| When preparing instruments for sterilization, all are completed with the exception of: | lining the tray with a nonwoven disposable wrapper |
| Which is an initial incision for abdominoplasty? | low transverse |
| When performing a rhinoplasty, the exostosis in the nose is removed with a: | chisel |
| Which type of sterilization requires the use of the Bowie-Dick test? | prevacuum steam |
| What is the first federal act to establish patient privacy standards? | Health Insurance Portability and Accountability Act |
| What should the surgical technologist wear when transporting a patient with tuberculosis from PACU to the isolation patient room? | respirator |
| How is the informed consent signed if a patient is illiterate? | patient marks an "x" |
| What agent should not be used to disinfect endoscopes? | isopropyl alcohol |
| What is used to expose the meatus during urethral catheterization? | non-dominant hand |
| What is the second phase of wound healing? | proliferation |
| What muscle is commonly used for TRAM reconstruction in a mammoplasty? | rectus abdominis |
| The patient is never positioned until the: | anesthesia provider gives permission |
| What term refers to cell "drinking"? | pinocytosis |
| What does hypertension mean? | high blood pressure |
| What type of fire extinguisher should be available when using a laser? | halon |
| What is the major side effect of thrombolytics? | hemorrhage |
| If a sterile glove becomes contaminated during a procedure, what action should the surgical technologist take? | circulator pulls off glove covering hand with gown cuff; ST regloves using closed technique |
| What type of suture technique is used to invert the stump of the appendix during an appendectomy? | purse-string |
| What is the proper procedure for removing a laparotomy drape? | ST holds dressing in place; rolls drape head to feet |
| Gerota's fascia is located: | around the kidney |
| What activity can aggravate the symptoms of trigeminal neuralgia? | chewing |
| What is the purpose of maintaining 20% to 60% relative humidity in the OR? | decrease static electricity |
| What surgical instrument is used to thread the drilled hold for the screw during ORIF? | tap |
| What pathology would be treated by transphenoidal hypophysectomy procedure? | pituitary neoplasm |
| The muscles that cause strabismus are the: | extrinsic |
| What is the minimum number of people to transfer a patient from the OR table to the stretcher? | 4 |
| When used as a skin prep, which of the following should be allowed to thoroughly dry if electrocautery will be used? | alcohol and tinctures |
| Healthcare-acquired infections are most commonly associated with what device? | use of urinary catheters |
| What is the technical term for robotic arms? | manipulator |
| In what procedure would the surgeon check for anastomotic leaks by injecting air into the rectum, looking for bubbles in the fluid-filled peritoneal cavity? | low anterior resection |
| What are varicosities of the rectum and anus? | hemorrhoids |
| Vitamins A, D, E and K are absorbed in the: | intestine |
| The preoperative exsanguination of an extremity prior to inflating a tourniquet is accomplished with: | esmarch |
| What vessel is harvested for use during a CABG? | internal mammary artery |
| What retractor would be used to retract the muscles during a hip pinning? | Bennett |
| The surgical reanastomosis of the vas deferens is called a: | vasovasostomy |
| Which type of laser is used to remove polymethyl methacrylate from a cemented joint implant during a revision arthroplasty? | CO2 |
| Sound waves travel through the external auditory canal and strike the: | tympanic membrane |
| In large abdominal wounds that require frequent dressing changes, what will minimize the skin break-down? | Montgomery straps |
| What positioning device would be used for a LAVH? | Allen stirrups |
| The term mentoplasty refers to surgery of the: | chin |
| What situation could cause a patient's signature on a surgical informed consent to be challenged in court? | patient received preoperative medications |
| What is the importance of humidity when using EtO sterilization? | hydrate spores and bacteria |
| What is the purpose of PMMA during a cranioplasty? | filling cranial defects |
| The appropriate location when placing the grounding pad is over a: | fleshy area |
| Which catheter is used for an angioplasty? | Fogarty |
| A hernia that presents through Hasselbach's triangle is a: | direct |
| The medial malleolus is part of which bone? | tibia |
| What is performed prior to implantation of a Dacron knit polyester graft? | preclotting |
| What structure articulates with the head of the femur? | acetabulum |
| An abnormal bending backward of the uterus is called: | retroflexion |
| What type of clip is a Raney? | scalp |
| The ciliary body is part of which layer of the eye? | vascular |
| Which drug is a miotic? | pilocarpine |
| What is a violation of Standard Precautions during postoperative case management? | retrieve reusable trocar from sharps container |
| Which type of monitoring equipment is a noninvasive assessment of oxygen saturation of arterial blood? | pulse oximetry |
| How are femoral shaft fractures in an adult repaired? | intramedullary nailing |
| What instrument would be used to dilate the male urethra? | Van Buren |
| To determine the process for preparing surgical instruments for use on tissue and within a body cavity, they are classified as: | critical |
| The Harrington retractor allows for gentle elevation of which anatomical structure? | liver |
| What is the term for the division of a reproductive cell into two cells with chromosome cells? | meiosis |
| What does the term dys- mean? | difficult |
| After the patient is extubated, which device is often used to maintain the airway around the relaxed tongue? | oropharyngeal airway |
| Which accelerates the coagulation cascade? | topical thrombin |
| Which breast procedure describes a mastectomy? | surgical removal |
| What is done to the common bile duct during a choledochojejunostomy? | anastomosed |
| In what procedure would a tourniquet be unnecessary? hip arthroplasty; knee arthroplasty; ankle fracture; ORIF radius | hip arthroplasty |
| Which anatomical site would be prepped last when performing a skin prep for a colostomy reversal procedure? | stoma |
| What surgical procedure is performed to relieve pressure on the median nerve? | carpal tunnel release |
| What is the proper procedure for turning the sterile gown? | hand tag to circulator; circulator moves around gown |
| What does the term 'os' mean? | opening |
| What is not a function of the trachea? | amplify speech |
| What condition is characterized by the sudden onset of floating spots before the eyes? | retinal detachment |
| One of the most effective germicidals for cold sterilization is: | 2% glutaraldehyde |
| From which laminectomy instrument would intervertebral disc fragments be cleaned? | pituitary |
| Which type of suture is used for vascular reanastomosis? | nonabsorbable monofilament |
| What molecule is broken down when body cells require energy? | ATP |
| Which represents a saddle joint? | thumb and trapezium |
| During an EtO sterilization cycle, humidity is maintained at: | 20-80% |
| An emergency drug given to stabilize ventricular fibrillation is: | isoproterenol |
| Creating a positive-pressure air supply for each OR will: | minimize airborne bacteria entering room |
| Which is an acceptable antiseptic solution for a skin prep? | povidone-iodine |
| During a total hip arthroplasty, which instrument is used after intramedullary reaming to reshape the proximal femoral canal? | rasp |
| Which assesses the electrical activity of the nervous system? | electroencephalogram |
| The functional unit of the kidney responsible for removing waste and regulating fluid is the: | nephron |
| Which of the following is an intermediate-level disinfectant? | isopropyl alcohol |
| Which vein of an infant patient is a central venous catheter inserted? | external jugular |
| After the patient leaves the OR, the reusable items should be taken to the decontamination room: | inside a closed case cart |
| A clamp used for occluding a peripheral vessel is: | DeBakey |
| During a total hip arthroplasty, which type of device prevents PMMA from filling the medullary canal distal to the prosthesis? | restrictor |
| Which is proper technique when applying a grounding pad? | avoid placing pad on buttocks |
| Which sutures are packaged in alcohol to maintain pliability? | natural absorbable |
| What procedure should be followed for securing consent for surgery for an unconscious patient requiring emergency surgery whose family members or guardian cannot be contacted? | two consulting physicians agree |
| What gynecologic procedure includes removal of the reproductive organs, bladder and rectum? | pelvic exenteration |
| Isopropyl alcohol is bactericidal, which means it: | kills bacteria |
| Use of a one-step applicator with little or no pressure on skin would be indicated in which of the following conditions? | abdominal aortic aneurysm |
| A postoperative anesthesia complication when extubating a patient is: | laryngospasm |
| The process by which glucose is stored as glycogen is: | glycogenesis |
| The large, leaf-shaped laryngeal cartilage that acts as a "trap door" over the larynx is the: | epiglottis |
| Use of Van Buren sounds might be necessary for urethral catheterization in patients presenting what condition? | urethral stricture |
| The four fluid-filled spaces of the brain are: | ventricles |
| For which surgical procedure would bupivicaine with epinephrine be contraindicated? | trigger finger release |
| What term describes an individual who harbors a pathogen but displays no signs or symptoms? | carrier |
| Which procedure is performed before completing an ileal conduit? | cystectomy |
| Which is the recommended postoperative handling of reusable instruments used on a patient with Creutzfeldt-Jakob disease? | place in biohazard bag and destroy |
| In what anatomical structure would a T- tube most likely be placed? | common bile duct |
| What type of procedure is performed to treat tumors of the pituitary gland? | transsphenoidal hypophysectomy |
| What would be an inappropriate manner for the handling of surgical specimens? | frozen sections are sent to pathology on a raytec sponge |
| Which instrument would be used during a suprapubic prostatectomy? | bladder retractor |
| A tumescent solution is used in what procedure? | suction lipectomy |
| What is a type of non-retaining catheter? | whistle |
| The walls of the vagina are lined with: | mucosa |
| Which drug counteracts metabolic acidosis? | sodium bicarbonate |
| Which wound classifications would be assigned to a compound fracture? | contaminated |
| Which type of dye is used intravenously to verify patency of the fallopian tubes during a pelvic procedure? | methylene blue |
| Pneumoperitoneum is utilized during a laparoscopy to do what? | create safe working space |
| What is the required pressure for a steam sterilizer set at a temperature of 250 degrees F? | 15-17 PSI |
| What is the most commonly used thermal method of hemostasis in cranial neurosurgery? | bipolar electrosurgery |
| A wrapped instrument set that will be run in the steam prevacuum sterilizer at 270 degrees F must be sterilized for a minimum of: | 4 minutes |
| A patient that has sudden onset of shortness of breath in the PACU may indicate: | pulmonary embolism |
| Which sutures is a nonabsorbable monofilament frequently used in vascular surgery? | polypropylene |
| Which defines anaerobic? | without oxygen |
| Which nerve in the lower leg must be protected from pressure when placing the patient in lithotomy position? | Peroneal |
| Exophthalmos due to Grave's disease is associated with which gland? | thyroid |
| Where should the Foley indwelling catheter drainage bag be positioned after insertion of the catheter? | lower than the level of the bladder |
| The sutures of the adult skull are examples of: | synarthroses |
| A ventilation system that provides a unidirectional positive-pressure air flow at a high air exchange rate in the OR is: | laminar air flow |
| Catabolism of fats produce: | ketone bodies |
| What is the principle reason for performing a preoperative skin prep? | remove transient flora and reduce resident flora |
| What is the part of the brain that is responsible for controlling the body's temperature? | hypothalamus |
Created by:
kenderle7
Popular Surgery sets